| NPI | 1689408957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURIY KATS Member 314-736-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |